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General NPI Number Information
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NPI Number | 1164301420
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Entity Type | Organization
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Legal Business Name | RESTORE HEALTH, PLLC
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Dates
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Enumeration Date | 08/30/2025
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Last Update Date | 08/30/2025
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Provider Practice Location Address
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Address Line | 2001 W FERGUSON RD STE 3000
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City | MOUNT PLEASANT
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State | TX
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Zip | 75455-2973
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Country | US
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Telephone | 214-514-9205
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Fax | 817-419-9294
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Provider Business Mailing Address
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Address Line | PO BOX 158
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City | MANSFIELD
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State | TX
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Zip | 76063-0107
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Country | US
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Telephone | 214-514-9205
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Fax | 817-419-9294
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Authorized Official
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Title or Position | CEO
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Name | SHELETHA BRATTON
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Credential | FNP-C
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Telephone | 214-514-9205
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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